Access Supports For Living Inc

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE IN ORANGE COUNTY - ACCESS: SUPPORTS FOR LIVING INC. (ACCESS) INTENDS TO EXPAND CCBHC SERVICES TO NEW YORK'S ORANGE COUNTY THROUGH THE PROVISION OF TELEHEALTH AND WALK-IN SERVICES AT ITS MENTAL HEALTH AND SUBSTANCE USE URGENT CARE MODEL (BHUC). ACCESS WILL CONTINUE TO PROVIDE THE FULL SCOPE OF CCBHC SERVICES, INCLUDING SAME DAY ACCESS TO PSYCHIATRY, THERAPY, MEDICATION ASSISTED TREATMENT (MAT), CARE MANAGEMENT, PEER SERVICES, NURSING, AND INTEGRATED PHYSICAL HEALTH SERVICES AT IS BHUC, WITH THOSE SAME SERVICES AVAILABLE TO TELEHEALTH PATIENTS. THIS EXPANDED TELEHEALTH MODEL WILL ALLOW MORE PEOPLE TO SEEK CARE WITHOUT THE BURDEN OR BARRIER OF TRAVEL. ACCESS WILL CONTINUE TO FOCUS ON THOSE LIVING IN POVERTY AND UNINSURED AND UNDERINSURED INDIVIDUALS IN ORANGE COUNTY, WITH A FOCUS ON THE DIVERSE SUBPOPULATIONS WITHIN THE COUNTY. WHILE COUNTY DEMOGRAPHICS INDICATE A PREDOMINANTLY WHITE COMMUNITY, ACCESS SERVES A HIGHER PERCENTAGE OF INDIVIDUALS IDENTIFYING AS AFRICAN AMERICAN OR HISPANIC. THE POPULATION SO F FOCUS ALSO INCLUDES 11% OF COUNTY RESIDENTS WHO REPORT LIVING IN POVERTY, WITH 38% OF PEOPLE SERVED HAVING MEDICAID AS THEIR PRIMARY FORM OF INSURANCE. IN OPERATING THE BHUC, ACCESS INTENDS TO MAKE CARE MORE ACCESSIBLE TO ALL INDIVIDUALS IN THE COUNTY AND TO REMOVE SOME OF THE STIGMA OF RECEIVING MENTAL HEALTH AND SUD CARE. INDIVIDUALS WILL BE GREETING IN A "LIVING ROOM" TYPE OF EXPERIENCE, ALLOWING SOMEONE TO GET COMFORTABLE WITH SEEKING CARE AS THE FIRST STEP IN CARE. ONCE THE INDIVIDUAL IS COMFORTABLE, ACCESS PROVIDES THE FULL SPECTRUM OF CCBHC SERVICES TO MEET THE INDIVIDUAL'S NEEDS INCLUDING ON-SITE PSYCHIATRIC SERVICES AND MAT INDUCTIONS, AS INDICATED. ACCESS ALSO PROVIDES ALL OF THE ROUTINE AND FOLLOW-UP CARE A PERSON MAY NEED TO BE SUCCESSFUL IN TREATMENT. FURTHER, ACCESS INTENDS TO ADDRESS KEY SOCIAL DETERMINANTS OF HEALTH BY PROVIDING EMPLOYMENT, HOUSING, AND FOOD SECURITY SUPPORTS TO INDIVIDUALS WHO NEED IT. IN THE FIRST YEAR OF THE PROJECT, ACCESS INTENDS TO TO SEE 850 INDIVIDUALS, GROWING TO 3,400 INDIVIDUALS SERVED OVER THE FOUR-YEAR LIFE OF THE PROJECT.

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE IN ULSTER COUNTY - ACCESS: SUPPORTS FOR LIVING INC. (ACCESS) INTENDS TO PROVIDE CCBHC SERVICES TO NEW YORK'S ULSTER COUNTY THROUGH A BEHAVIORAL HEALTH/SUBSTANCE USE DISORDER (SUD) URGENT CARE (BHUC) MODEL THAT CAN COMBINE WALK0IN AND TELEHEALTH SAME-DAY SERVICES WITH THE FULL SCOPE OF CCBHC SERVICES, INCLUDING SAME-DAY ACCESS TO PSYCHIATRY, THERAPY, MEDICATION ASSISTED TREATMENT (MAT), CARE MANAGEMENT, PEER SERVICES, NURSING, AND INTEGRATED PHYSICAL HEALTH SERVICES. ACCESS INTENDS TO SERVE THOSE IN POVERTY AND UNINSURED AND UNDERINSURED INDIVIDUALS IN ULSTER COUNTY, FOCUSING ON THE DIVERSE SUBPOPULATIONS WITHIN THE COUNTY. WHILE THE DEMOGRAPHIC MAKE-UP OF THE COUNTY IS PREDOMINANTLY WHITE, ACCESS ALREADY SERVES A HIGHER PERCENTAGE OF INDIVIDUALS IDENTIFYING AS AFRICAN AMERICAN OR HISPANIC. THE POPULATION OF FOCUS ALSO INCLUDES 11% OF COUNTY RESIDENTS WHO REPORT POOR MENTAL HEALTH FOR TWO WEEKS OR MORE OVER THE LAST MONTH AND 13% OF RESIDENTS WHO DID NOT SEEK CARE BECAUSE OF COST. IN OPERATING THE BHUC, ACCESS INTENDS TO MAKE CARE MORE ACCISSIBLE TO ALL INDIVIDUALS IN THE COUNTY AND REMOVE SOME OF THE STIGMA OF RECEIVING MENTAL HEALTH AND SUD CARE. INDIVIDUALS WILL BE GREETED IN A "LIVING ROOM" TYPE OF EXPERIENCE, ALLOWING SOMEONE TO GET COMFORTABLE WITH SEEKING CARE AS THE FIRST STEP IN CARE. ONCE THE INDIVIDUAL IS COMFORTABLE, ACCESS PROVIDES THE FULL SPECTRUM OF CCBHC SERVICES TO MEET THE INDIVIDUAL'S NEEDS INCLUDING ON-SITE PSYCHIATRIC SERVICES AND MAT INDUCTIONS, AS INDICATED. ACCESS ALSO PROVIDES ALL OF THE ROUTINE AND FOLLOW-UP CARE A PERSON MAY NEED TO BE SUCCESSFUL IN TREATMENT. FURTHER, ACCESS INTENDS TO ADDRESS KEY SOCIAL DETERMINANTS OF HEALTH BY PROVIDING EMPLOYMENT HOUSING, AND FOOD SECURITY SUPPORTS TO INDIVIDUALS WHO NEED IT. IN THE FIRST YEAR OF THE PROJECT, ACCESS INTENDS TO SERVE 250 INDIVIDUALS, GROWING TO 2, 250 INDIVIDUALS OVER THE FOUR-YEAR LIFE OF THE PROJECT.

CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE - THROUGH THIS PROJECT, TITLE CCBHC ACCESS TO INTEGRATED BEHAVIORAL HEALTH URGENT CARE, ACCESS: SUPPORTS FOR LIVING INC.'S (ACCESS) CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) FOCUSES ON THE POPULATION SEEKING URGENT MENTAL HEALTH AND/OR SUBSTANCE USE DISORDER SERVIES TO CREATE IMMEDIATE ACCESS, AND TO AVOID AND RESOLVE ACUTE CRISES. THE ACCESS CATCHMENT AREA IS CENTERED ON ORANGE COUNTY (OC), NEW YORK, AND SERVICES THE ENTIRE HUDSON VALLEY REGION. ACCORDING TO THE US CENSUS 2018, OC HAS 381,951 RESIDENTS. OF THE TOTAL POPULATION, 5% ARE VETERANS, 14% ARE 65 AND OLDER, AND 25% ARE UNDER 18. 24.4% OF THE OC POPULATION AGES 5 AND OVER SPEAKS A LANGUAGE OTHER THAN ENGLISH. 12% OF THE OC RESIDENTS MEET THE FEDERAL DEFINITION FOR POVERTY. ACCORDING TO THE NYS OFFICE OF MENTAL HEALTH PATIENT CHARACTERISTICS SURVEY IN 2015, OF THE MORE THAN 2500 TOTAL OC CLIENTS RECEIVING SERVICES FROM PROGRAMS LICENSED OR FUNDED BY THE NYS OFFICE OF MENTAL HEALTH (OMH), THE MOST COMMON DIAGNOSIS IS SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS (30%) FOLLOWED BY DEPRESSIVE DISORDERS (22%) AND BIPOLAR AND RELATED DISORDERS (20%). OF THE 2500 OMH CLIENTS IN THE COUNTY, 16% HAVE AN INTELLECTUAL DISABILITY, ARE ON THE AUTISM SPECTRUM, OR HAVE ANOTHER DEVELOPMENTAL DISABILITY; A QUARTER (25%) OF ALL CLIENTS HAVE CO-OCCURRING DISORDERS. MANY CLIENTS EXPERIENCE PHYSICAL HEALTH CONDITIONS AS WELL AS BEHAVIORAL; 56% HAVE AT LEAST ONE CHRONIC MEDICAL CONDITION. ACCESS PROPOSES TO: (1) INCREASE THE CAPACITY OF ACCESS' CCBHC TO PROVIDE URGENT CARE TO MEET THE IMMEDIATE BEHAVIORAL HEALTH (BH) NEEDS OF ADULTS AND CHILDREN IN OC, (2) INCREASE AND IMPROVE COMMUNITY-BASED ENGAGEMENT WITH INDIVIDUALS WITH BH NEEDS, DISCHARGED FROM FACILITIES IN OC, (3) INCREASE ACCESS' REVENUE SOURCE TO SUSTAIN ROUTINE BEHAVIORAL CARE FOR INDIVIDUALS WITH AN URGENT NEED AFTER THE GRANT TERM, AND (4) UTILIZING EXISTING RESOURCES, CONNECT CCBHC URGENT CARE CLIENTS TO EMPLOYMENT AND VOCATIONAL SUPPORT. THE AGENCY WILL PROVIDE IMMEDIATE, WALK-IN MENTAL HEALTH AND SUBSTANCE USE SERVICES, INCLUDING PSYCHIATRY, FOR ADULTS AND CHILDREN, INCLUDING CRISIS INTERVENTION AND HOSPITAL DIVERSION FOR THOS IN ACUTE BH CRISIS, AND TRANSITIONS OF CARE SERVICES FOR PEOPLE DISCHARGED FROM INPATIENT BH CARE.

ACCESS RAPID ENGAGEMENT AND COMMUNITY HEALTH (REACH) TEAM - AS ONE OF THE LARGEST BEHAVIORAL HEALTH (BH) AND HUMAN SERVICE PROVIDERS IN THE MID-HUDSON REGION, ACCESS: SUPPORTS FOR LIVING (ACCESS) IS PROPOSING TO ESTABLISH THE RAPID ENGAGEMENT AND COMMUNITY HEALTH (REACH) TEAM, WHO WILL SERVE 600 INDIVIDUALS WITH SERIOUS EMOTIONAL DISTURBANCES (SED), SERIOUS MENTAL ILLNESSES (SMI), AND CO-OCCURRING DISORDERS (COD) LIVING IN ORANGE AND ULSTER COUNTIES IN NEW YORK OVER THE GRANT'S 2 YEARS (300 EACH YEAR). THIS INCLUDES THOSE LIVING IN THE HISTORICALLY MARGINALIZED COMMUNITIES OF MIDDLETOWN, NEWBURGH, KINGSTON, AND ELLENVILLE/WAWARSING, AS WELL AS RESIDENTS WHO IDENTIFY AS LATINX WHO HAVE TRADITIONALLY LACKED ACCESS TO SERVICES. IN ORDER TO ADDRESS THE SIGNIFICANT AND INCREASING BH NEEDS IN BOTH ORANGE AND ULSTER COUNTIES, ACCESS WILL USE THESE GRANT FUNDS TO STRENGTHEN AND EXPAND OUR EXISTING INFRASTRUCTURE THROUGH THE REACH TEAM IN A WAY THAT IS TRAUMA-INFORMED AND CULTURALLY AND LINGUISTICALLY ACCESSIBLE. OUR CLINICS SAW A 48% INCREASE IN THE NUMBER OF CLIENTS SERVED BETWEEN 2019 AND 2020, AND THIS PROPOSED REACH TEAM WILL EXPAND ON THIS GROWTH, MEETING INDIVIDUALS WHERE THEY ARE IN THE COMMUNITY (I.E., THEIR HOMES OR OTHER FAITH-BASED OR COMMUNITY SETTINGS) IN ORDER TO REDUCE BARRIERS TO SERVICE ACCESS. SPECIFICALLY, WE WILL SEEK TO ACCOMPLISH THE FOLLOWING GOALS THROUGH THIS PROJECT: (1) INCREASE ACCESS TO BH SERVICES FOR THE COMMUNITY OF MIDDLETOWN, NEWBURGH, KINGSTON, AND ELLENVILLE/WAWARSING, AS WELL AS ORANGE AND ULSTER COUNTY RESIDENTS WHO IDENTIFY AS LATINX; (2) HELP THOSE IN ORANGE/ULSTER EXPERIENCING BH CRISES TO STABILIZE AND CONNECT TO TREATMENT AND SUPPORT; AND (3) REDUCE BURNOUT AND PROMOTE JOY AMONG STAFF SO THEY CAN CONTINUE TO SUPPORT OUR TARGET COMMUNITIES.

COMMUNITY PROJECT FUNDING/CONGRESSIONALLY DIRECTED SPENDING - CONSTRUCTION - THROUGH THIS PROJECT, ACCESS: SUPPORTS FOR LIVING INC. (ACCESS) WILL RENOVATE OUR EXISTING HEADQUARTERS, LOCATED AT 15 FORTUNE ROAD WEST, MIDDLETOWN (TOWN OF WALLKILL), NY. THE RENOVATION WILL MAKE MORE EFFICIENT USE OF EXISTING SPACE BY CREATING SHARED OFFICE SPACES, “HOTELING” OFFICE SPACES, AND SMALL GROUP AREAS, AND CREATING A NEW, LARGE, DIVIDABLE TRAINING SPACE FOR CLINICAL AND FRONT-LINE STAFF TO DEVELOP THE SKILLS AND KNOWLEDGE TO HELP PEOPLE LIVE THE HEALTHIEST AND FULLEST LIVES POSSIBLE. THE TRAINING SPACE WILL ALSO SERVE AS A HUB FOR COMMUNITY EDUCATION OFFERINGS, INCLUDING THOSE FOR SUICIDE PREVENTION, AUTISM SUPPORT, CARE FOR THE CAREGIVER, NALOXONE ADMINISTRATION, AND OTHERS.